The variability and morphometry of the brachiocephalic trunk in human foetuses

• Autorzy: Szpinda M , Flisinski P. , Elminowska-Wenda G. , Flisinski M. , Krakowiak-Sarnowska E.
• Języki publikacji: EN

Abstrakty

EN

In prenatal and pediatric cardiovascular surgery knowledge of the various arrangements of the aortic arch and its branches as well as the normative data are essential. The variability and morphometric features of the brachiocephalic trunk in 131 human foetuses (65 male, 66 female) ranging from 15 to 34 weeks of gestation were studied by means of anatomical, digital and statistical methods. In all the foetuses examined the left aortic arches were found to have three different arrangements. In 74.05% of cases the usual pattern of the aortic arch with its three main branches were observed. A common origin of the brachiocephalic trunk and left common carotid artery occurred in 20.61% of individuals. In 5.34% of cases the left vertebral artery was an additional vessel and arose from the aortic arch between the left common carotid and subclavian arteries. No significant gender differences were found with respect to the brachiocephalic trunk (p ≥ 0.05). The developmental increase in length (r₁ = 0.78) and diameter (r₂ = 0.83) correlated with a linear function but the increase in volume in relation to age corresponded to a quadratic function (r₃ = 0.73). Our results show the largest increases in the brachiocephalic trunk according to the following parameters: the length — between the 4th and 5th, and 7th and 8th months, diameter — between the 8th and 9th months and volume — between the 4th and 5th, and 7th and 9th months of gestation (p £ 0.01). The present study constructs a normal range for the morphometric features of the foetal brachiocephalic trunk.

Słowa kluczowe

EN

morphometry; variability; brachiocephalic trunk; fetus; human fetus; aortic arch; surgery; cerebrovascular disease; ischaemic cerebrovascular disease; length; diameter; volume; regression analysis

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2005
• Tom: 64
• Numer: 4
• Opis fizyczny: p.309-314,fig.,ref.

Twórcy

autor

Szpinda M

• Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Karlowicza 24, 85-092 Bydgoszcz, Poland

autor

Flisinski P.

autor

Elminowska-Wenda G.

autor

Flisinski M.

autor

Krakowiak-Sarnowska E.

Bibliografia

• 1. Adachi B, Hasebe K (1928) Das Arteriensystem der Japaner. Verlag der Kaiserlich-Japanischen Universität, Bd II, Kyoto.
• 2. Alvarez L, Aranega A, Saucedo R, Contreras JA, Lopez F, Aranega A (1990) Morphometric data concerning the great arterial trunks and their branches. Int J Cardiol, 29: 127–139.
• 3. Anson BI (1971) Thoracic cavity and its contents. In: Anson BI, McVay Ch (eds.). Surgical anatomy. Vol. 1, W.B. Saunders Company, Philadelphia, London, Toronto, pp. 408–412.
• 4. Azakie A, Mc Elhinney DB, Messina LM, Stoney RJ (1999) Common brachiocephalic trunk: strategies for revascularization. Ann Thorac Surg, 67: 657–660.
• 5. Fitzgerald SW, Donaldson JS, Poznański AK (1987) Pediatric thoracic aorta: normal measurements determined with CT. Radiology, 165: 667–669.
• 6. Hofstetter R, Engelhardt W, Prunte K, Rother A, von Bernuth G (1987). Sector echocardiographic determination of the diameter of the large arteries of the heart in children. Z Kardiol, 76: 38–43.
• 7. Kadir S (1991) Atlas of normal and variant angiographic anatomy. W.B. Saunders Company. Philadelphia, pp. 19–54.
• 8. Kurata H, Satoh S, Kohno M, Kajiwara H, Mashimo Y, Satoh H (1989) Brachiocephalic arterial aplasia of the right aortic arch with subclavian steal syndrome. Nippon Kyobu Geka Gakkai Zasshi, 1: 171–174.
• 9. Lize I (1970) Abnormal origin of the great vessels from the aortic arch. Folia Morphol, 29: 401–402.
• 10. Midiri M, Finazzo M, Pilato M, Lagalla R, De-Maria M (1999) Right aortic arch with aberrant left innominate artery: MR imaging findings. Eur Radiol, 9: 311–315.
• 11. Moes CA, Freedom RM (1993) Rare types of aortic arch anomalies. Pediatr Cardiol, 2: 93–101.
• 12. Niżankowski C, Rajchel Z, Ziółkowski M (1975) Abnormal origin of arteries from the aortic arch in man. Folia Morphol, 34: 109–116.
• 13. Roberts CS, Othersen HB Jr, Sade RM, Smith CD 3rd, Tagge EP, Crawford FA Jr (1994) Tracheoesophageal compression from aortic arch anomalies: analysis of 30 operatively treated children. J Pediatr Surg, 2: 334–338.
• 14. Roguin N, Sujov P, Shapir Y, Peleg H, Riss E (1982) Single arterial trunk arising from the aortic arch associated with coarctation of the aorta. Pediatr Radiol, 12: 39–40.
• 15. Sadler TW (1993) Langman’s medical embryology. Med Tour Press International, Warszawa, pp. 207–219.
• 16. Savastano S, Feltrin P, Chiesura-Corona M, Mioffa D (1992) Cerebral ischemia due to congenital malformations of brachiocephalic arteries — case reports. Angiology, 1: 76–83.
• 17. Szpinda M (2005) A new variant of left aberrant brachiocephalic trunk in man: case report and literature review. Folia Morphol, 64: 47–50.
• 18. Szpinda M, Flisiński P, Gościcka D (1999) Skeletopy of the brachiocephalic trunk and the common carotid arteries in human fetuses. Folia Morphol, 58: 127–136.
• 19. Testut L, Latarjet A (1948) Traite d’Doince, anatomie humaine. Vol. 7, Paris.
• 20. Ursell PC, Byrne JM, Fears TR, Strobino BA, Gersony MW (1991) Growth of the great vessels in the fetus with cardiac defects. Circulation, 84: 2028–2033.